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Home My WebLink About40135567 - PermitProject Address: 3621 S Harbor BIvd Unit 130 Assessor's Parcel: 414-261-07 Lot: POR 3 Block: NA Bldg: Tract: WILLIAMS Address Range: 3G01-3631 Historic: No Suite Range: Zoning: SD58 City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Mechanical PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 Permit #:4o.{35567 Pin #: 96666 Owner: Address: Phone: Tenant Name: Contractor: Address. Phone: Anne Ahn 11777 San Vicente Blvd #650 Los Angeles, CA 90049 (657) 325-8400 Air Control Systems lnc. 1940 S Grove Avenue Ontario, CA 91761 (s09) 7864230 01 1 16002 51604 01 1 16002 51604 01 1 16002 5160C 01 1 16002 51604 01116002 5777C Fee Type VAV Box Alter Vent Sys General Plan Update lssuance Microfilm Records Amount 47.95 46.99 23.79 59.30 4.05 Qty 1 .00 100 1 .00 100 100 Fee $47.95 $46 99 $23.79 $59.30 $4.05 State Lic #: 639003 Lic Type: C-2, C-20 Brrs. Lic #: 172404 Workers' Compensation I nsurance:Carrier: New Hampshire lnsurance Co Policy #: 039326872 Expires. 0710112021 Botch 0f f ic Ar:c t i Rcp ti Trons 01 I 160CrZ llechon ic Lrl I 160[t? ICL Chec i/21/2tt2t ID;'r$ns*: +Ref*: +l 3/21/2A21 $ rrl $4: & uocurenf,s 5777firt[rtr- on Updote Fer 51600tr00- ULI- rJL147 46Building Use: Commercial Job Type: Alteration Nature of Work: Demising Wall Planning Conditions: lnterior Tl only Occupancy: Constr Type: Code: Date: Date: Date: B V B, SPK cMc 2019 Notes: lnstall a demising wall to create suite 130 Fee Total Paid to Date: Balance Due: Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: Building Permit #: Y*,ernandez,05t2'U2021 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Kathy Every permit issued shall become invalid unless the work on the site authorized by such permit is commenced within 360 days after its issuance, or if the work authorized on the site by such permitis suspended or abandoned for a period of 360 days after the time the work is commenced. lnspector MID#: 2021-164757 01 1 16002 51600 01 1 16002 51604 01 1 16002 57770 $23.7e $1s4.24 $4.05 $182.08 $0 00 $182.08 ( M ECHANICAL.I NSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWNER BUTLDER DELCARATION I hccby aflm undo poalty of perjury that I m qmpt 6om thc Contractore' Liceroe Law for the following Iwn (Sc.7031.5 Busin* and Profsion Codc): Any City or County which rcquirc a pcrnit to snstruct. altq, imprcvc. darclish or rcpoir my strucluc, Fior to its isumcc. also rcquiG thc applicmt for such pcrmit to file s sigDcd stalm@t lhd hc or slE b licoEcd plmatrt to thc provisiom of thc Conurctor'r Liccnscd l:w (Chaptq 9. Commcncing with Sction 7000 of Division 3 of thc Busine md Prcfssions Codc) or that hâ‚¬ or shc is qmpt th@from ild thc bais for the allcgcd cxmFion. Aoy violstion of Strtbn 703 I .5 by my applicmtfor8pcmitsubjctsthc applicsnttoacivilpmltyofnotmorethilfivehundrcddollm($500). , -1. as owner of the propcrty. or my employees with wages as their sole compcnsation. will do thc work and thc snrctrne is not intended or offered for sale (Se.7044. Business and hofessions Code: The Contractor's Licqrse Law does not apply to an owner of the property who builds or improves thâ‚¬r@n. and who does such wort himself or hcrself or through his or her own employees. provided that such improvoncnts are not intendcd or offered for sale. l[, howwer. ttrc building or improvsncnt is sold within one ],tar of complaiorL the Oumer Builder will have the hrdcn of proving thd hc or she did not build or improve the propcrty for the purposeof sale). -1. as owner of the propâ‚¬rty. am exclusively contracting with licensed contractors to construct the project (Sec. 7044. Btsiness and Proftssion Code: The Contractor's License Law does not apply to an owner of property who builds or improves thcr@n. and who contracts for such projects with a Contraclo(s) licersed pursuant to the Contractor's License Larv). _l arn exempt under B. & P.C. for this reason. Date:_( )rr ner: WORKERS' COIITPENSATION DECLARATION I hereby affirm under poralty of perjury one of the follorving declarations: _l have and will maintain a Certificate of Conscnt to Self-lnsure for workers' contpensation, as povidcd for by Section 3700 of the I-abor Code. for the perfonnance of the work for which the pennit is issued. X the have and will maintain workers' compâ‚¬nsation insurance. as reauired by Section 3700 of the Labor Code, for the pcrfonnance of work flor which thispermit is issued. My l{as44?e workers' compensation insurance carrier and policy number re: carrier: furt^l /a SUlAaa ? Cj./wt /t't y WrZ 6T7Z oL/Policy t _l certify that in the perforrnance of the rvork for rvhich this perrnit is issued. I shall not ernploy any person in any trlirret so as to be,come subject to the workers' compensation larvs of California. and agree that if I should becotne subject to the rvorkers' colnpensation provisions of Section 3700 of the Labor Code. I shall. ftrrrhu'ith cornply rvith those provisions.. { WARNING: Failure to scrure workers' compensation coveragle is unlawful. and shall subject an to l and civil fines up to one hundred thousand dollars ($100,000). Section 3076 of the Labor Code. interest and attorney's fees. in the Dnte:/t/*rtr-r I hereby aflirm under pcnalty of perjury that I am licemed 9 (commencing u'ith Section 7000) of Division 3 of the Business and Professions Code. and my license is in full force and effect. CLO 9 ao 7License Drte:g/ zt /zot- ( I hereby alTirm under pcnalty of perjury that there a aSency the performance of thc work for u'hich this permit b issued (Sec. 3097. Civ. C.). Lender's Name: Lender's Address: ,rt tcANr'"rc I herdry aflinn under penalty of perjury one of the follorving declarations: Dernolition Perrnits-Asbestos Notification Federal Regulations ('I'itle 40. Pan6) -Required Letter of Notification -l certip that the federal regulations regarding asbestos removal are not applicable to this project. _l certi& that I have read this information ordinances and State l-arvs relating to above mentioned property for Applicant or Agent Permitee nilne that (z/ZAL the Appliances Metal Fire Place Evaporative Cooler Furnace Compressor Misc. Equipment Duct Work /l tt .-n Pre-lnsulation TiltN wm{f,a t4g lnsulation I Smoke Detectors lnstalled Rough Ductwork Vents Toilet Room / Clothes Dryer Residential Ranqe Other Hood Type I Hood Type !l Hood Grease Duct Fire Damper Openinqs lnstallation F.D. Drop Test Above Hard Lid //,r'.a Above T-Bar 7/trll/?v?e "mf7I Rough Mech. Final Test Meter Release //Ir FINAL r0//*72r ItP:Y,Lh Notes, Remarks, Etc.I pro\ License Contrnctor:a purposes. t cXwt -T l/L, - , &K